| NPI | 1891869061 |
|---|---|
| Former Name | SHIELA STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD R024930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000390) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-12-01 |